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Results for “Health Planning Guidelines”

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At least 37 records · Page 2Linked to original sources
PubMed2004

Formation and operation of a statewide commission on end-of-life care in Minnesota.

BACKGROUND: Innovative approaches to improving end-of-life care are needed. One strategy involves government/community partnerships to improve care. OBJECTIVE: Engage health care provider and health care consumer communities in the State of Minnesota to improve end-of-life care. DESIGN: The Minnesota Commission on End of Life Care was formed to make recommendations that would be used by public and private policy makers to improve care in the state. RESULTS: An innovative selection process brought together a broad group of people to identify, prioritize, and make recommendations regarding end-of-life care in the state. Carefully selected leadership, good planning, and organization ensured a successful process that kept all appointed commission members engaged throughout the 18-month project. Using a consensus process, the Commission endorsed a framework for end-of-life care and made specific recommendations for improving access, education and public policy. This paper describes the process of developing and implementing the Commission, the challenges, successes, and lessons learned.

Advisory Committees↗
PubMed1997

Policy issues associated with analyzing outcomes of care.

Policy questions associated with the conduct of outcomes studies are addressed and outcomes management and outcomes research are differentiated. Multiple outcomes initiatives are being undertaken in the United States, from the institutional to national and international levels. Nurses have had limited involvement, thus far-although the array of outcomes being examined is considerable. Members of an American Academy of Nursing expert panel on quality health care discuss the environmental context and multiple focuses of outcomes analysis. They provide an overview of current activities, present the challenges confronting nursing in its pursuit of a quality assessment agenda, and make recommendations for increasing nurses' participation in quality initiatives.

Health Planning Guidelines↗
PubMedDate not supplied

Strengthening the public health system.

Although the American public health system has made major contributions to life expectancy for residents of this country over the past century, the system now faces more complex health problems that require comprehensive approaches and increased capacity, particularly in local and State public health agencies. To strengthen the public health system, concerted action is needed to meet these five critical needs: First, the knowledge base of public health workers needs to be supplemented through on-the-job training and continuing education programs. To this end, self-study courses will be expanded, and a network of regional training centers will be established throughout the country. Second, communities need dynamic leadership from public health officials and their agencies. To enhance leadership skills and expand the leadership role of public health agencies, focused personal leadership development activities, including a Public Health Leadership Institute, and national conferences will provide a vision of the future role of public health agencies. Third, local and State public health agencies need access to data on the current health status of the people in their communities and guidance from the nation's public health experts. To improve access to information resources, state-of-the-art technologies will be deployed to create integrated information and communication systems linking all components of the public health system. Fourth, local and State agencies need disease prevention and health promotion plans that target problems and develop strategies and the capacity to address them. To provide communities with structured approaches to this process, planning tools have been developed and distributed, and technical assistance will be provided to local and State health agencies to involve each community in planning,priority setting, and constituency building.Finally, public health agencies need adequate resources to fund prevention programs. To improve the use of existing Federal support and enhance the availability of new community resources, grant programs will be modified, and innovative approaches to local resource enhancement will be developed and shared.Activities in these five key areas are designed to improve the infrastructure of the public health system and its capacity to carry out effectively the core functions of public health assessment, policy development, and assurance of the availability of the benefits of public health. If the nation is to achieve the health objectives for the year 2000, the public health system-the individuals and institutions that, when working effectively together, promote and protect the health of the people-must be strengthened.

Computer Communication Networks↗
PubMed2005

Enhancing the crisis management briefing.

The Crisis Management Briefing (CMB) is a powerful and versatile crisis intervention tool, effective within a wide variety of populations, settings, and critical incidents. Initially proposed by Everly (2000), the CMB uniquely fills the factual information void following a critical incident. Additionally, a CMB provides essential information on effective coping strategies and available helping resources, tailored to the specific incident(s). The authors expand on the original CMB construct using their combined field experience, offering recommendations on team composition, strategic planning factors, using CISDs vs. CMBs, and specific enhancements for the four phases. They conclude with examples of specific interventions across a variety of events to illustrate their recommendations.

Crisis Intervention↗
PubMedDate not supplied

[Measures for counteracting of biological terrorism in the Russian Federation].

The article deals with topicality of the problem of ensuring biological safety in Russia. The necessity of a unified state policy aimed at the realization of the concept of biological safety is grounded. In particular, the expediency of the state support of research programs is emphasized. The organizational and practical measures, carried out by the Ministry of Health and Social Development in this field, are analyzed. The list of prospective measures for the organization of effective state regulation in the field of ensuring the biological safety of the country is given.

Animals↗
PubMed1982

Report of the Graduate Medical Education National Advisory Committee to the secretary.

The Graduate Medical Education National Advisory Committee (GMENAC) was charged with the task of advising the Secretary of the Department of Health and Human Services on overall strategies on the present and future supply and requirements of physicians by specialty and geographic location. In September of 1980, GMENAC submitted its final report to the Secretary. Included in this report are policy directives that were issued in the form of recommendations; several of these recommendations are directed specifically at the independent non-physician health care professions. The potential impact of these recommendations upon the profession of optometry is monumental; and, the authority of GMENAC to issue directives regarding the supply of optometrists and the future requirements of optometric manpower must be challenged.

Allied Health Personnel↗
PubMed1980

Analysis of health education sections of health systems plans.

Health Systems Agencies are required by federal guidelines to plan for and provide educational opportunities for residents of their health service areas. A study was conducted of 9 health education components of health systems plans developed by HSAs in Region III. The health education plans were analyzed and scored using the "Health Education Plan Scorecard" developed by Sullivan and adapted by the present authors. Specifically this modified scorecard consists of eight dimensions of the health education planning process: Involvement, Principles and Practice of Health Education, Defining Problems, Setting Goals and Objectives, Recommending Actions, Obtaining Resources, Planning for Implementation, and Planning for Evaluation. Ratings were generally higher on the first five dimensions of the scorecard. The last three dimensions produced lower scores. The overall average score was 41 points out of a possible 100. Thus indicating the general overall low scores received by the plans. The paper includes 18 recommendations to HSAs for improving the quality of health education plans. A key recommendation is that the Health Education Plan Scorecard should be used as a guide and check list during the plan development process.

Evaluation Studies as Topic↗
PubMedDate not supplied

Evidence-based and value-based formulary guidelines.

Health plans and hospitals have long used drug formularies, but the processes by which formulary committees made decisions have typically lacked transparency and scientific rigor. A growing number of organizations have begun implementing formulary guidelines issued by the Academy of Managed Care Pharmacy (AMCP). These guidelines call for health plans to request formally that drug companies present a standardized "dossier" that contains detailed information not only on the drug's effectiveness and safety but also on its economic value relative to alternative therapies. This paper describes the guidelines, reviews progress to date, and analyzes several critical issues for the future.

Decision Making, Organizational↗
PubMed1997

Ten-year follow-up of ARIMA forecasts of attendances at accident and emergency departments in the Trent region.

Forecasting models for first, return and total attendances at accident and emergency (A&E) departments and yearly forecasts were developed ten years ago for all the health districts in the Trent region in England. The one-yearly forecasts had been checked against the 1986 actual figures and found accurate for first attendances but less accurate for return attendances. The forecasts for 1993 and 1994 were much further from the actual figures than the 1986 forecasts, with an increasing bias towards overestimation, particularly for reattendances. Whether a first attender is reviewed at a further visit may depend on local medical policy, which itself may vary with personnel changes. The one-off original ARIMA forecasts for new attendances for 1994 were no better than the district projections made in 1984, but they were better than the Trent Regional Health Authority guidelines. The ten-year strategic plan for Trent Regional Health Authority overestimated the increase in the number of first attendances at A&E departments in the Trent region. The forecasting methodology on which it was based could be improved by incorporating the ARIMA method into planning at the health district level. New forecasts or updated ones need to be calculated yearly.

Accidents↗
PubMed1986

An economic evaluation of "Health for All".

The World Health Organization's 'Global Strategy' is an ambitious vision, but to achieve its goals it must first be implemented. Implementation will require careful and detailed planning. This paper evaluates the possibilities of transforming the Global Strategy from a laudable policy initiative into an actual 'Plan for Health', from the point of view of a health economist. This economic evaluation assesses the probable costs of implementing various activities of the Strategy, and the likelihood that developing countries will be able to afford these costs, either on their own, or with the assistance of the developed countries. A final section considers the current global situation and presents trends over the last two decades. The numbers of countries that have already achieved the goals of the Strategy, that can be expected to achieve the goals of the Strategy by the year 2000, and that are unlikely to achieve these goals (on the basis of current trends) are shown. The WHO 'success indicator' based on numbers of countries is compared to a more epidemiological one based on deciles of the world's population. It is argued that, even several years after the initiation of the Global Strategy, insufficient information exists on the next logical step of transforming the Policy into a Plan. Unless adequate attention is paid to this vital step, implementation of the Strategy will inevitably be ad hoc and patchy. Further research on the costs of the activities proposed by the Global Strategy, and the probable effects on health of those activities, is desperately needed.

Data Collection↗